Summary

Euthanasia accounted for 4.7% of deaths in Canada in 2023, with 15,300 people opting for assisted dying—a 16% increase, though slower than prior years.

Most recipients had terminal illnesses, primarily cancer, and 96% were white, sparking questions about disparities.

Quebec, at 37% of cases, remains Canada’s euthanasia hotspot.

Since legalizing assisted dying in 2016, Canada has expanded access, now covering chronic conditions and planning to include mental illnesses by 2027.

Critics, citing rapid growth and controversial cases, warn of insufficient safeguards, while proponents highlight strict eligibility criteria. Debate continues globally.

  • Buffalox@lemmy.world
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    4 months ago

    I’m surprised it’s that many, but it’s people who are allowed to die with dignity, and released from a life of pain.
    I hate we don’t have that right here in Denmark.

    • tootoughtoremember@lemmy.world
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      4 months ago

      Not that surprising given how big our aging boomer demographic is. This was my father two years ago who had fought a year long battle with cancer before deciding to go with MAID. He was already hospitalized in palliative care and it may have only saved him a day or two more of suffering. In fact after how rough his final night was, I wish he had been able to let go a day earlier.

    • DeadWorldWalking@lemmy.world
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      4 months ago

      While people should have the right to end their own lives, i feel like widespread use of euthanasia will degrade the standards of our medical care.

      • x00z@lemmy.world
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        4 months ago

        Even in a privatized hospital, like the US, euthanasia will always be cheaper than normal medical care. So even in capitalist countries I don’t see that being the case.

  • kava@lemmy.world
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    4 months ago

    What does everyone here think about it? I know it’s typically seen as progressive, although so was eugenics in the early 1900s.

    My gut feeling tells me this is wrong. I can’t judge someone for wanting to die while in pain and maybe I would think differently if it were me or my family member. But I think human life is something sacred and that we all have a duty to ourselves and to each other to live for as long as we can.

    Maybe it’s just some built-in religious indoctrination from growing up Catholic, but I’m scared that this will eventually de-stigmatize suicide.

    We call it “self-assisted euthanasia” but this is essentially legalizing companies to assist in suicides.

    • withabeard@lemmy.world
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      4 months ago

      If self-assisted euthanasia (SAE) has risen from 0% to 20% of all deaths. Then “other” methods of death must have dropped equal to 20%. If that collection of “other”, is drawn-out cancer, Alzheimer’s, Parkinson’s etc. then I see this as working. If those conditions have not seen a comparative reduction, and all we’ve done is replace suicide with SAE then I think this hasn’t worked as intended.

    • notabot@lemm.ee
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      4 months ago

      Sit by the bedside of a loved one as they die in agony that can only be even partially controlled by keeping them comatose. You’ll likely soon come to the conclusion that we shouldn’t be trying to just live ‘as long as we can’, but as long as we can well.

      There often comes a time when the rest of a person’s life will consist only of barely managed pain, suffering, indignity and imminent death. It should be up to the person living that to decide if it is worth it, and and up to the medical profession to deliver a peaceful end if that is what they want.

      There are plenty of issues that need to be worked through before it is possible, particularly around coercion, deliberate or accidental, and how it is delivered, but they must be worked through if we are to consider ourselves humane. When an animal we care about is suffering, with no hope of relief, we can make the choice to end their lives to alleviate the suffering, we should be able to do the same for ourselves.

    • Wogi@lemmy.world
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      4 months ago

      You’re a very fortunate person and I hope things stay that way for you.

      Please do not presume that your good fortune has granted you the wisdom to make decisions for those who have not been so blessed.

    • Drivebyhaiku@lemmy.world
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      4 months ago

      As a Canadian who has watched a loved one die very slowly and spent a fair amount of time in hospice I changed my mind about wanting to fight to the bitter end.

      My mother in law was a lovely lady, but unable to really face her death. Seeing what others were going through she begged us to not let that be her but the rules are she and she alone needed to sign off on the paperwork while she was lucid. We couldn’t set that up for her, she needed to do it herself… And she couldn’t face it and she missed her window.

      The last week of her life was hell. She was so weak from not eating due to her cancer that she fell and hurt her hip. Thing people don’t really tell you about wasting away is your brain essentially becomes too energy expensive to run. She lost the ability to understand what was going on around her and had to be restrained in the bed so she wouldn’t try to get up and she, unable to interpret what was happening, started making escape attempts throughout the day and night frequently crying in pain. She begged like a small child for us to help her and looked at us like monsters because we couldn’t. She had been one of the most staunchly independent people I had known and she spent her last week in agony and all of us were powerless watching knowing it was the last thing she wanted.

      I was so thankful for the Hospice care. I realized it could have been so much worse if her care was expensive or wasn’t handled with such an incredible standard of compassion… But the experience left all of us close to my MIL more than a little traumatized.

      It’s important to realize that these decisions are intensely personal. I would not wish what happened to my MIL on my worst enemy. Depictions of death in media do not adequately prepare you for the potential realities of every situation. That perceived duty to live as long as you can isn’t always a kindness.

      • kava@lemmy.world
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        4 months ago

        I appreciate the personal anecdote. I believe in cases like the one you detailed, assisted suicide is not only morally justified but I think perhaps even obligatory. It does sound horrific and I can only imagine how horrific it feels to be that person going through that period of time.

        When I say duty to live, I’m more speaking to those who are not terminally ill. Another user brought up a good point where what we need to do is look at the death % rates and see how they shifted. For example, if 20% of people now die from assisted suicide, do 20% less people die from cancer and other similar diseases? Then assisted suicide is for all intents and purposes relegated to terminally ill patients.

        If the number, however, is let’s say 15% less people die from cancer, that would imply 5% more people are dying because of assisted suicide than would have otherwise died. This is the part I’m scared of.

        Again, I appreciate your comment. It must have been a profound thing to witness. For good and for bad.

        • Drivebyhaiku@lemmy.world
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          4 months ago

          In the articles I have read the terms “raised alarms” does a lot of work. Yes a lot of Christian groups “raise alarms” but that’s a little toothless when there is a history of a lot of sects believing that suicide, regardless of it’s circumstances, is a gateway to hell. The median age of people taking up the offer on assisted suicide is at age 78.

          We as a country have a massive die off occurring as the youngest of the Baby Boomers, one of the biggest ever generations in our country’s history… Is now reaching retirement age. There is a steep change in how the body ages and metabolizes things around age 60 and there’s a bit of an expected die off that accompanies that change. Considering the Canadian government and population is particularly sensitive to watchdoging any potential genocide or eugenics programs the system is designed with a lot of checks and balances. You need two doctors who are unrelated to each other’s practice to sign off on even starting the process which takes about a year to complete if you are not terminally ill. Any particular spikes in pairs of potentially colluding doctors who sign off together on the paperwork too often trigger an investigation.

          Part of the cultural development of the last two decades has been fallout from the government admiting that they and the Catholic Church were jointly responsible for a genocide of the indigenous peoples. While keeping a weather eye on the program is merited a lot of the controversy is more towards the end of people wanting a scary bogeyman to point to in order to erode faith in the Government when really the system is one that was heavily advocated for and was very carefully designed. While concern is natural… It’s also good to do the reading to explore the depths of the system’s design and implementation and know that it was from the get go in conversation with ethical watchdogs and is under review since it’s inception to monitor the effect it is having. “Somebody warns scary numbers are scary” is basically the imperative of the media who only gets paid when you pay attention to them and scary, half explained things is one of the noisemakers that is effective.

    • hedgehogging_the_bed@lemmy.world
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      4 months ago

      If it is the standard of care for pets and other animals who cannot communicate their needs to us directly, shouldn’t it also be the standard of care for people, who can communicate their desires and needs.

    • Maggoty@lemmy.world
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      4 months ago

      If someone in end stage cancer wants to press the fast forward button I will help them. That is a horrible way to go and forcing people to suffer through it as long as possible isn’t what’s best for them. It just makes the people around them feel better.

      I’m much less of a fan of opening it up to mental illness, combined with pushes to reintroduce institutionalization I see a lot of potential for abuse.

    • Thrillhouse@lemmy.world
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      4 months ago

      Have you ever had to watch a family member decline though? What about a pet? How did you treat that pet? Did you prolong their suffering and watch them slowly die unable to eat or drink or did you do something about it so they did not have to suffer? Why are humans different if they themselves, sound of mind, choose to end their own suffering?

      An acquaintance of mine’s relative chose to go this way due to ALS. It was their choice and the last year was hell on the family, even though the relative had selected assisted dying.

      Before modern medicine, how exactly do you think they handled grandma who was losing her marbles and lived in a one room farmhouse with the rest of the family? Especially if they’re violent and nasty. Is it right to withhold care/food/water and let nature take its course? Is that murder? Was there murder or suicide? Lots of this stuff has happened throughout history within the privacy of a family. People were likely more “religious” back then but we didn’t have the regulations or medical oversight to document things as such. Likely they just told people that their relative died of natural causes, buried them on the family plot and were done with it.

      It is hell to witness the pain and confusion someone you love has when they have a degenerative disease and the Herculean effort it takes to care for someone in a condition like this. A family simply cannot do this alone without paying an exorbitant amount of money for medical and support staff - around the clock.

      It’s like anything else in history:

      • Ban abortion and abortion still happens, but without any shred of dignity, humanity or compassion.
      • Ban drugs and guess what, they still exist on a dangerous black market.
      • People still kill themselves without the help of medical assistance in dying. This just provides a path to dignity and closure for the person and their family for those who choose it. And I’m sure if you’re intent on ending your life, you don’t give a fuck about the stigma.

      Wouldn’t it be a good thing to “de-stigmatize” suicide? So people can talk about it and we have more of a chance to intervene with people who do not have a lethal disease?

      Everyone I have encountered who brings up “suicide is never an option” in relation to issues like this has never had to witness it. I’m 100% going out this way if I ever have a lethal disease.

    • Flying Squid@lemmy.world
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      4 months ago

      Sometimes, you’re tired of fighting and you just want it all to end. All this does is make it painless and quick. Which is merciful.